| NPI | 1346432341 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CO DR.0048074) |
| Additional Taxonomies | 207PP0204X Emergency Medicine, Pediatric Emergency Medicine (Licence: CO DR.0048074) |
| 208000000X Pediatrics (Licence: CO 48074) | |
| Enumeration Date | 2007-08-14 |
| Last Update Date | 2026-03-10 |